Hina'S Odyssey, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NV20141711940 Issued in NV

Legal business name

HINA'S ODYSSEY, LLC

Practice address

4132 S Rainbow Blvd
Suite 149
Las Vegas, NV 89103-3106

Phone

(775) 475-4754

Fax

(775) 403-1795

NPI assigned

Dec 25, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melanie Bison, PHD

Title

Clinical Director

Phone

(775) 475-4754

Specialties & licenses 1

Addresses

Other names 1

• Hina's Odyssey Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482624000000",
    "number": "1508301730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 S RAINBOW BLVD",
            "address_2": "SUITE 149",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033106",
            "telephone_number": "775-475-4754",
            "fax_number": "775-403-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4132 S RAINBOW BLVD",
            "address_2": "SUITE 149",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033106",
            "telephone_number": "775-475-4754",
            "fax_number": "775-403-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINA'S ODYSSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-25",
        "last_updated": "2016-12-25",
        "status": "A",
        "authorized_official_last_name": "BISON",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "775-475-4754",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20141711940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hina's Odyssey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glenn J Hime, M.D.
• Ashley R Himes
• Terry Mark Himes, D.O.
• Justin Troy Himori, DPT
• Kim Himphayvanh
• Julius L Hinds II
• Kealin E Hinds
• Kevanna Hinds
• Monroe Hinds Jr.
• Sandra J Hinds

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.